how to have a fat free, low calorie diet?
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Or ask the nurse for a better explanation. They are also there to help tell you what to do.Ive got another appointment with another doctor. Not sure if I feel a bit like a paranoid nutbag though!
Just discuss your concerns with your doctor. Don't let him/her rush you. Doctors are people, very busy people usually. Sometimes you have to push a little to get them to slow down and discuss your options. But you (or your insurance provider, or govt) are paying them to care for you. Get your money's worth. Once they are aware that you have concerns and want to know more most doctors will explain their reasoning and work on a solution that makes you comfortable.
Because they are people, there are naturally going to be doctors who are complete a**wipes. But most are not. Most are highly trained professionals who are not idiots. Let them do their job, but make sure they know your goals as well as theirs.0 -
Are you a troll? Everything you say seems to have troll undertones.0
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Talk to a nutritionist. Your dr doesnt even know what RDA is. Red flag!
This! When I saw this comment I about fell out of my chair. A doctor who is giving nutritional advice but doesn't know what nutrients you need is NOT a good doctor. Fats are absolutely a necessary part of a healthy diet. Get thee to a different doctor!0 -
As for the stones "not going anywhere" because of their size??? Yes they can, they can lodge in the duct, causing emergency surgery. Trust me, that was no fun and pain I will not forget.
Please get another opinion, surgery now is so quick and easy that you will wonder why you ever waited.0 -
Talk to a nutritionist. Your dr doesnt even know what RDA is. Red flag!
Hi, I'm a nutritionist.
RDA's haven't been used for decades and I see no reason why a G.P. should have memorised the table in case someone asks for it when they've already managed to memorise an encyclopedic knowledge of health conditions, diseases, causes, complications, diagnosis, prognosis and referrals for the majority of the population.
I'd have to look it up.0 -
Talk to a nutritionist. Your dr doesnt even know what RDA is. Red flag!
Hi, I'm a nutritionist.
RDA's haven't been used for decades and I see no reason why a G.P. should have memorised the table in case someone asks for it when they've already managed to memorise an encyclopedic knowledge of health conditions, diseases, causes, complications, diagnosis, prognosis and referrals for the majority of the population.
I'd have to look it up.
BMI is also used, which is outdated. JS
There is plenty of old information circulating in the medical environment. it is not uncommon0 -
Fat in general is broken down by bile. So I dont know what you are talking about.FFS healthy fats do not cause gallstones. Nor do healthy fats cause excess cholesterol in our body. Please, please see a new doctor. As mentioned repeatedly already, most doctors know *kitten* about nutrition. I would argue they know nothing at all about health. Just what drugs are used for what symptoms.
Fat is a necessary macro and in fact it is THE most important macro. 30% as set by MFP default is already too low and you are aiming for less? Please don't. Lots of health problems result from a diet too low in healthy fats and most of us are very familiar with them (depression, anxiety, etc), and I'm talking natural saturated fats. Oh yes I am.
PS. Do try to keep your gallbladder if possible. Just because doctors don't fully understand it's function doesn't mean it's "unnecessary". There are dietary changes that would help but eliminating all fat is not one.0 -
Here are some studies in regards to a proper diet for prevention and breaking down of gallstones
http://www.ncbi.nlm.nih.gov/pubmed/9665682
controlled study for obese patients. High fat vs low fat - both on a hypocaloric diet
http://www.ncbi.nlm.nih.gov/pubmed/109030040 -
Went for a second opinion and I feel much happier!
1. She advised that surgery is an option and its right to look into it, but that if I can manage them without attacks, then I don't have to have the surgery as around 1 in 10 people live with no-symptomatic gallstones everyday.
2. She said not to remove ALL fat from my diet, just to always take the lower fat options and eat a more balanced healthy diet, avoiding trigger foods such as fried foods, pizza and high fat dairy.
When I asked her about the RDA and if I should put a lower limit on my grams of fat, she said that everyone was different, so it was hard to put a figure on it, but that it was probably a case of trial and error for a bit til I learned what worked (unless my symptoms became more serious).0 -
Glad you got a second opinion. can she refer to to a nutritionist so you can discuss proper eating and healthy weight loss while restricting fat intake? I think that would be your next step. I wouldn't want to go through surgery unless it was absolutely necessary. My best friends boyfriend only eats foods that have less then a certain percentage of fat, he never eats anything fried or anything cooked in oil. He has a gall bladder issue and never has a problem. But that does not meant it would work for you. He also went through a nutritionist when he was first diagnosed.0
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Talk to a nutritionist. Your dr doesnt even know what RDA is. Red flag!
Hi, I'm a nutritionist.
RDA's haven't been used for decades and I see no reason why a G.P. should have memorised the table in case someone asks for it when they've already managed to memorise an encyclopedic knowledge of health conditions, diseases, causes, complications, diagnosis, prognosis and referrals for the majority of the population.
I'd have to look it up.
That's what I was thinking. Why would the Dr. have the RDA for every nutrient memorized? Why would anyone?0 -
Much better advice!Went for a second opinion and I feel much happier!
1. She advised that surgery is an option and its right to look into it, but that if I can manage them without attacks, then I don't have to have the surgery as around 1 in 10 people live with no-symptomatic gallstones everyday.
2. She said not to remove ALL fat from my diet, just to always take the lower fat options and eat a more balanced healthy diet, avoiding trigger foods such as fried foods, pizza and high fat dairy.
When I asked her about the RDA and if I should put a lower limit on my grams of fat, she said that everyone was different, so it was hard to put a figure on it, but that it was probably a case of trial and error for a bit til I learned what worked (unless my symptoms became more serious).
I also had a very large gallstone (2 cm+, even I could see the gallstone in an xray!) which is what eventually led to the removal of my gallbladder. Well, that and the fact that my grandmother's gallbladder burst when she was somewhere in her early 60s from the same issue led my doctor and I to decide it was better to schedule the surgery when I was already on break from work and school than to have an emergency sometime down the road. I have to admit it's a relief to have that ticking time bomb out.
Every one is different in regards to what triggers an attack. I was able to eat anything I wanted while I still had mine in and I had no issues. But even without a gallbladder I'm not finding that any specific foods, including the occasional side order of fries or onion rings, cause me problems. You will definitely do best to limit oily, fatty foods for the first couple of weeks and then slowly introduce more foods to see how it affects you. If you do end up opting for the surgery, the recovery is quick and most people I've talked to feel better after the surgery than they did before.0 -
Why don't you try the 17 Day Diet? It's a short term kick start thing. it does give you a very limited list of foods for the 1st 17 days.. very low fat, then adds more food in the second 17 days, then even more in for the 3rd 17 days and after that you eat anything. It's designed to "cleanse" (I hate that word) you first and then get you in the habit of eating healthy and then introducing all the normal foods back into your diet.
It might work for you. I'm going to try it.. simply because I am stuck and need a jump start.0 -
I have to see a nurse before I can get referred to a nutritionist, which is BS cos what is a nurse gonna tell me that the doctor couldn't have done!
Ive cut down my fat intake to 50g or less a day, so far that seems ok. The biggest problem is all the fruit, veg and whole grain is giving me some serious gas! Lol0 -
UPDATE:
So, saw my surgeon about having my Gallstones/bladder removed and he said I could but at my BMI (over 50) I'm at greater risk of having to have the full open surgery, not the keyhole (the difference of 7-10 days recovery vs 6 weeks and a 6 inch scar).
We decided that whilst I wasn't in too much pain, I could reduce my BMI to reduce the risk before I have the op.
Just the 130lbs to loose to get me down to around a 30BMI then!0 -
You need to see a proper medical dietician to get decent advice on a diet that will suit your medical requirements.0
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Although it's a mammoth task, it's better than risking your life and you'll have far more benefits than just the surgery
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I asked if I should reduce from the RDA of 70g down to 50g as I'd seen that on the internet. First she didn't know what the RDA was and then she said all fats
And yet you still planning on following her diet advice? I advise you to find a better doctor.0 -
I'm trying to lose weight and cut my calories down but I also want to cut out all fat.
I dont like fish or eggs or mushrooms, does anyone have any recipes or meal suggestions?
As others have said, reducing all fat is both impossible and not good for you if it were.
As to how to eat a low fat diet and cut calories: lots of veggies.0 -
bump *silly reason* Note to self bump0
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I asked if I should reduce from the RDA of 70g down to 50g as I'd seen that on the internet. First she didn't know what the RDA was and then she said all fats
And yet you still planning on following her diet advice? I advise you to find a better doctor.
Different doctor. Saw a consultant ths time.0
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